New Patient Packet
![New Patient Packet Thumbnail](images/forms/new-patient-packet-thumbnail-527x737.webp)
Contains Patient Registration, Current Condition Form, Patient History Form, HIPAA, Financial Policy, and Terms of Acceptance.
💡Open in Adobe Reader or Acrobat for fill-able form fields.Insurance Assignment
![Insurance Assignment Thumbnail](images/forms/insurance-assignment-release-thumbnail-527x737.webp)
This form is for when you want us to bill insurance or a party other than yourself.
Release of Records
![Release of Records Thumbnail](images/forms/records-release-thumbnail-527x737.webp)
Complete this form if you have records and/or X-Ray films at another office that you’d like sent to us.
Opening an LNI Claim?
![LNI](images/logos/lni-logo-282x282.webp)
Get LNI injury information here.
You can also start your claim by filling out a Report of Accident here.
Don't worry, you can also fill it out on paper in our office, if that is your preference. If you open a claim online - don't forget to let us know!